Individual provider Active NPI

Frank Reedus III

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1659822294
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000019633 Issued in TN
Practice address
202 Windsor Terrace Dr
Nashville, TN 37221-2254
Phone
(615) 673-0037
NPI assigned
Oct 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019633 TN Primary
Family Nurse Practitioner 363LF0000X CNP-03128 NM

Addresses

Primary practice location

202 Windsor Terrace Dr
Nashville, TN 37221-2254

Mailing address

202 Windsor Terrace Dr
Nashville, TN 37221-2254
Phone (615) 673-0037

Other practice location 1

300 20th Ave N Ste G1
Nashville, TN 37203-2132
Phone (615) 941-8550

Other names 1

  • Prof. Frank Reedus III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170301000481 NM Practitioner - Nurse Practitioner 0749564243 Reassigns benefits to 2 organizations
I20230308000058 TN Practitioner - Nurse Practitioner 0749564243 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
CNP-03128NMMDFamily Nurse Practitioner
APN0000019633TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging PC CurrentSince Apr 22, 2025 Accepting new patients
Advanced Diagnostic Imaging, PC CurrentSince Apr 22, 2025 Accepting new patients
San Miguel Clinic Corp CurrentSince Oct 1, 2024 Accepting new patients
San Miguel Hospital Corporation Current Accepting new patients
San Miguel Hospital Corporation PastSince Oct 1, 2024 Accepting new patients
Saint Thomas Past Accepting new patients

Locations

108 Legion Dr
Ste A
Las Vegas, NM 87701
Phone (505) 425-2662

104 Legion Dr
Las Vegas, NM 87701
Phone (505) 426-3500

108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569

104 Legion Dr
Ste 4
Las Vegas, NM 87701
Phone (505) 426-3780

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

3024 Business Park Cir
Goodlettsvlle, TN 37072
Phone (615) 239-2018

300 20th Ave N
Ste G1
Nashville, TN 37203
Phone (615) 284-7035

2300 Patterson St
#M
Nashville, TN 37203

3443 Dickerson Pike
Ste 400
Nashville, TN 37207
Phone (615) 612-2146

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1659822294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 WINDSOR TERRACE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212254",
            "telephone_number": "615-673-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WINDSOR TERRACE DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212254",
            "telephone_number": "615-673-0037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 20th Ave N Ste G1",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032132",
            "country_code": "US",
            "telephone_number": "615-941-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEDUS",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-19",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019633",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANK",
            "last_name": "REEDUS",
            "prefix": "PROF.",
            "suffix": "III",
            "credential": "NP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.